Alumni Registration

SIMPKINS SCHOOL, AGRA

Alumni Registration Form

Fields marked with asterisk (*) need to be filled.

Email Address *
Alumni Name (Full) *
Date of Birth

[ dd/mm/yyyy format ] *
Class & Section *
-
Please mention class and section at the time of leaving school.
Name of Principal

Please mention name of Principal of your school, at the time of leaving school.
Year of Passing *
Phone Number
- -
Country code, area code, phone number.
Currently Working *
Current Organisation *

If not applicable, please type NA.
Current Designation *

If not applicable, please type NA.
Current Organisation's Website / Your website / Your blog
Current Location *
- -
Please mention city. Please mention state. Please mention country.
Highest qualification held *
 
If Other, please specify.
Specialization / Major
Your special skill

(In any area of interest)
Institute / College / University *
Social Media ID
If you are on Twitter / Facebook / Orkut etc, please give complete link.
About Me
Upload photo
Upload your passport-size photograph (JPG, PNG, GIF, BMP format only).